Provider Demographics
NPI:1346050622
Name:ALLA ALEXIS SHRAGER DMD 3 PA
Entity type:Organization
Organization Name:ALLA ALEXIS SHRAGER DMD 3 PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLA
Authorized Official - Middle Name:ALEXIS
Authorized Official - Last Name:SHRAGER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:412-720-9277
Mailing Address - Street 1:PO BOX 90004
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27675-0004
Mailing Address - Country:US
Mailing Address - Phone:412-720-9277
Mailing Address - Fax:
Practice Address - Street 1:202 GRAHAM ST
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:NC
Practice Address - Zip Code:27589-1912
Practice Address - Country:US
Practice Address - Phone:252-257-3736
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALLA ALEXIS SHRAGER DMD 4 PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-01-09
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223D0001XDental ProvidersDentistDental Public HealthGroup - Multi-Specialty
No1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty